The effectiveness of physical restraints in reducing falls among adults in acute care hospitals and nursing homes: a systematic review

2010 ◽  
Vol 8 (Supplement) ◽  
pp. 1-26
2002 ◽  
Vol 7 (4) ◽  
pp. 128-135 ◽  
Author(s):  
Elizabeth J. Halcomb ◽  
Ritin S. Fernandez ◽  
Rhonda D. Griffiths

2007 ◽  
Vol 28 (12) ◽  
pp. 1398-1400 ◽  
Author(s):  
Gwen Borlaug ◽  
Alexandra Newman ◽  
John Pfister ◽  
Jeffrey P. Davis

Hospitals and nursing homes were surveyed in 2006 to obtain information on employee influenza vaccination programs and baseline rates of influenza vaccination among employees. Results were used to make recommendations for improving employees' 2007 influenza vaccination rates. Facilities should continue to provide convenient and free vaccination programs, offer education to promote vaccination, and use signed declination forms.


2017 ◽  
Vol 38 (4) ◽  
pp. 476-482 ◽  
Author(s):  
Irene K. Louh ◽  
William G. Greendyke ◽  
Emilia A. Hermann ◽  
Karina W. Davidson ◽  
Louise Falzon ◽  
...  

OBJECTIVEPrevention ofClostridium difficileinfection (CDI) in acute-care hospitals is a priority for hospitals and clinicians. We performed a qualitative systematic review to update the evidence on interventions to prevent CDI published since 2009.DESIGNWe searched Ovid, MEDLINE, EMBASE, The Cochrane Library, CINAHL, the ISI Web of Knowledge, and grey literature databases from January 1, 2009 to August 1, 2015.SETTINGWe included studies performed in acute-care hospitals.PATIENTS OR PARTICIPANTSWe included studies conducted on hospitalized patients that investigated the impact of specific interventions on CDI rates.INTERVENTIONSWe used the QI-Minimum Quality Criteria Set (QI-MQCS) to assess the quality of included studies. Interventions were grouped thematically: environmental disinfection, antimicrobial stewardship, hand hygiene, chlorhexidine bathing, probiotics, bundled approaches, and others. A meta-analysis was performed when possible.RESULTSOf 3,236 articles screened, 261 met the criteria for full-text review and 46 studies were ultimately included. The average quality rating was 82% according to the QI-MQCS. The most effective interventions, resulting in a 45% to 85% reduction in CDI, included daily to twice daily disinfection of high-touch surfaces (including bed rails) and terminal cleaning of patient rooms with chlorine-based products. Bundled interventions and antimicrobial stewardship showed promise for reducing CDI rates. Chlorhexidine bathing and intensified hand-hygiene practices were not effective for reducing CDI rates.CONCLUSIONSDaily and terminal cleaning of patient rooms using chlorine-based products were most effective in reducing CDI rates in hospitals. Further studies are needed to identify the components of bundled interventions that reduce CDI rates.Infect Control Hosp Epidemiol2017;38:476–482


2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 8052-8052
Author(s):  
D. Brandoff ◽  
T. Wetle ◽  
M. Bourbonnaire ◽  
V. Mor ◽  
F. Schiffman ◽  
...  

2016 ◽  
Vol 22 (6) ◽  
pp. 561.e7-561.e19 ◽  
Author(s):  
R. Bitterman ◽  
K. Hussein ◽  
L. Leibovici ◽  
Y. Carmeli ◽  
M. Paul

Author(s):  
Roger Roberge ◽  
René Beauséjour

AbstractA survey conducted amongst 2,3 72 patients of Quebec chronic care hospitals and nursing homes confirms a high rate of restraints usage. There are differences between those centres in their utilization rate and models employed. It seems that acute care hospitals are also using frequently those coercive methods for their patients aged 65 years and older. Restraints are currently used without any written prescription in the patient's chart.


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